Active NPI
Springfield Neurological Institute, L.L.C.
- Neurological Surgery Physician
- Springfield, MO
National Provider Identifier
1629929682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- SPRINGFIELD NEUROLOGICAL INSTITUTE, L.L.C.
- Practice address
- 3801 S National Ave Ste 130
Springfield, MO 65807-5210 - Phone
- (417) 885-3888
- Fax
- (417) 881-7216
- NPI assigned
- Feb 5, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edwin J. Cunningham III, MD
- Title
- Neurosurgeon
- Phone
- (417) 885-3888
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | Primary | ||
| Physical Medicine & Rehabilitation Physician | 208100000X | |||
| Neuroradiology Physician | 2085N0700X | |||
| Physician Assistant | 363A00000X | |||
| Surgical Physician Assistant | 363AS0400X | |||
| Nurse Practitioner | 363L00000X | |||
| Acute Care Nurse Practitioner | 363LA2100X | |||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
3801 S National Ave Ste 130
Springfield, MO 65807-5210
Mailing address
1414 E Primrose St Ste 100
Springfield, MO 65804-4283
Phone (417) 882-1207
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Neurological Surgery Physician
- Springfield, MO
- NPI 1427002005
O20040415000146
National Provider Directory
National Provider Directory- Tax ID family
- Springfield Neurological Institute LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Springfield, MO
- NPI 1306978911
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Springfield, MO
- NPI 1346504479
-
- Neurological Surgery Physician
- Springfield, MO
- NPI 1164472841
-
- Physician Assistant
- Springfield, MO
- NPI 1790732162
-
- Diagnostic Radiology Physician
- Springfield, MO
- NPI 1578025532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770249600000",
"number": "1629929682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 E PRIMROSE ST STE 100",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658044283",
"telephone_number": "417-882-1207",
"fax_number": "417-881-7268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 S NATIONAL AVE STE 130",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658075210",
"telephone_number": "417-885-3888",
"fax_number": "417-881-7216"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPRINGFIELD NEUROLOGICAL INSTITUTE, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-05",
"last_updated": "2026-02-05",
"certification_date": "2026-02-05",
"status": "A",
"authorized_official_last_name": "CUNNINGHAM",
"authorized_official_first_name": "EDWIN",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "NEUROSURGEON",
"authorized_official_telephone_number": "417-885-3888",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Neuroradiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Acute Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
- Springfield Neurological and Spine Institute
- Springfield Neurological and Spine Institute
- Springfield Neurological and Spine Institute
- Springfield Neurological Institute, L.L.C.
- Springfield Neurological Institute, L.L.C.
- Springfield Neurological Institute, L.L.C.
- Springfield OB-GYN, LLC
- Springfield Orthopaedic & Pedorthic Services, LLC
- Springfield Orthotics and Prosthetics Inc
- Springfield Physical Medicine and Rehabilitation, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.